| Entity Name: | BAKER COMMUNITY MEDICAL PRACTICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 May 2007 (18 years ago) |
| Date of dissolution: | 08 Aug 2011 (13 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Aug 2011 (13 years ago) |
| Document Number: | P07000058865 |
| FEI/EIN Number | 260289594 |
| Address: | 159 NORTH THIRD STREET, MACCLENNY, FL, 32063, US |
| Mail Address: | POST OFFICE BOX 484, MACCLENNY, FL, 32063 |
| ZIP code: | 32063 |
| County: | Baker |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003009291 | 2007-08-22 | 2007-08-22 | 159 N 3RD ST, MACCLENNY, FL, 320632103, US | 159 N 3RD ST, MACCLENNY, FL, 320632103, US | |||||||||||||||
|
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| Phone | +1 904-259-3151 |
| Fax | 9042593279 |
Authorized person
| Name | MR. DENNIS RAY MARKOS |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 9042593151 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BUCHANAN JOHN D | Agent | 2508 BARRINGTON CIRCLE, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| MARKOS DENNIS R | Officer | 14125 NW COUNTY ROAD 239, LAKE BUTLER, FL, 32054 |
| Name | Role | Address |
|---|---|---|
| RAULERSON SHERRIE | Director | 12791 COUNTY RD 125N, GLEN ST. MARY, FL, 32040 |
| BLAKELY TONNIE | Director | 230 NORTH BOULEVARD EAST, MACCLENNY, FL, 32063 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2011-08-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-07 | 159 NORTH THIRD STREET, MACCLENNY, FL 32063 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2011-08-08 |
| ANNUAL REPORT | 2011-01-07 |
| ANNUAL REPORT | 2010-01-06 |
| ANNUAL REPORT | 2009-03-25 |
| ANNUAL REPORT | 2008-01-31 |
| Domestic Profit | 2007-05-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
